Despite the overwhelming clinical success of total hip arthroplasty, complications such as leg-length discrepancy can be a significant cause of functional impairment and patient dissatisfaction. Multiple intraoperative techniques are available for measuring femoral limb length; however, many require additional invasive hardware and those that do not are less accurate at measuring limb length. T...

A retrospective review was performed of the results of all allograft reconstructions that had been done after the resection of an osteosarcoma or an Ewing sarcoma in a skeletally immature patient between 1982 and 1989 at The Hospital for Sick Children in Toronto. There were twenty-six patients. Six reconstructions were intercalary, sixteen were resection arthrodeses, three followed resection of...

OBJECTIVE Evaluate side-to-side discrepancies in children with hemiplegic cerebral palsy (HCP), and investigate associations of these discrepancies with patients' age at initiation of physical therapy, motor and cognitive function, and degree of activities and social participation. METHOD We obtained eight side-to-side measurements from 24 HCP children with mean age 49.3±5.2 months. RESULTS...

INTRODUCTION Leg length discrepancy (LLD) causes pelvic obliquity in the frontal plane and lumbar scoliosis with convexity towards the shorter extremity. Leg length discrepancy is observed in 3-15% of the population. Unequalized lower limb length discrepancy leads to posture deformation, gait asymmetry, low back pain and discopathy. MATERIAL AND METHODS In the years 1998-2006, 369 children, a...

In this manuscript, experts in limb deformity correction provide commentary on outcome and complications following growth arrest for length discrepancy treated with percutaneous epiphyseal transphyseal screws. Strategies to prevent the rare iatrogenic fracture that is presented are discussed other methods of performing suggested consideration.

Author Information Baltimore, Maryland, U.S.A. During the 20th century, limb-deformity correction was performed using the “eyeball” technique. Such “ballpark” estimates are no longer acceptable in the 21st century. Limb deformities can be classified according to cause (congenital, developmental, posttraumatic), location (bone or joint contracture, extra-or intraarticular), geometry (angulation,...